Sharma Ankita, Kumar Rajesh
Department of Nursing, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India.
J Educ Health Promot. 2022 Oct 31;11:331. doi: 10.4103/jehp.jehp_1140_21. eCollection 2022.
Coronavirus disease (COVID-19) causes significant psychological distress among nursing students. College-bound nursing students might have preferred different types of coping strategies to deal with psychological distress. This study aims to measure the psychological distress and role of coping styles to mediate the stress level among the baccalaureate nursing students amid the COVID-19 pandemic.
A cross-sectional online survey was conducted in December 2020 at a nursing college attached to a tertiary care teaching hospital, North India. Nearly 251 baccalaureate nursing students completed the Impact of Event Scale-Revised (IES-R) and Coping Orientation to Problems Experienced Inventory (Brief-COPE) scale to report their psychological distress and coping styles, respectively. Chi-square test, independent sample -test followed by binary and multivariable regression were used to identify the factors associated with distress in students during the pandemic.
Students' mean age was 22.22 ± 1.24 years. The mean IES-R was 19.59 ± 12.45 in nursing students. Psychological distress found a significant association with age ( = 0.022), academic class ( = 0.016), travel history ( = 0.034), and being positive reverse transcription-polymerase chain reaction (RT-PCR) for COVID-19 status of self ( = 0.018) and family members in the medical profession ( = 0.013). In binary logistic regression, stress level found a significant association with first-year academic level (OR: 3.250, 95% CI: 1.429-7.390, = 0.005) and family members in the medical profession (OR: 4.44, 95% CI: 1.019-19.382, = 0.047). Adaptive coping styles were more frequently preferred than maladaptive coping styles (54% vs 41%). Adaptive ( = 0.295, < 0.001) and maladaptive coping ( = 0.403, < 0.001) shows a significant positive relationship with stress in students, respectively.
Coronavirus pandemic causes significant distress among nursing students. Students were able to manage stress using acceptance and religious/spiritual coping strategies. During the pandemic, stress management to support mental health is highly recommended.
冠状病毒病（COVID-19）给护理专业学生带来了严重的心理困扰。即将进入大学的护理专业学生可能更倾向于采用不同类型的应对策略来应对心理困扰。本研究旨在衡量心理困扰以及应对方式在COVID-19大流行期间本科护理专业学生压力水平调节中的作用。
2020年12月在印度北部一家三级护理教学医院附属的护理学院进行了一项横断面在线调查。近251名本科护理专业学生分别完成了事件影响量表修订版（IES-R）和经历问题应对取向量表（简易应对方式问卷，Brief-COPE），以报告他们的心理困扰和应对方式。采用卡方检验、独立样本t检验，随后进行二元和多变量回归，以确定大流行期间与学生困扰相关的因素。
学生的平均年龄为22.22±1.24岁。护理专业学生的IES-R平均分为19.59±12.45。心理困扰与年龄（P = 0.022）、年级（P = 0.016）、旅行史（P = 0.034）以及自身COVID-19状态的逆转录聚合酶链反应（RT-PCR）呈阳性（P = 0.018）和家庭成员从事医疗行业（P = 0.013）存在显著关联。在二元逻辑回归中，压力水平与一年级学业水平（比值比：3.250，95%置信区间：1.429 - 7.390，P = 0.005）和家庭成员从事医疗行业（比值比：4.44，95%置信区间：1.019 - 19.382，P = 0.047）存在显著关联。适应性应对方式比非适应性应对方式更常被采用（54%对41%）。适应性应对（β = 0.295，P < 0.001）和非适应性应对（β = 0.403，P < 0.001）分别与学生的压力呈显著正相关。
冠状病毒大流行给护理专业学生带来了严重困扰。学生能够通过接受和宗教/精神应对策略来管理压力。在大流行期间，强烈建议进行压力管理以支持心理健康。
